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KATIE D CLARK RD, LDN
NPI 1689455594
Dietitian, Registered in Philadelphia, PA

Active since October 09, 2023
1807 WATERLOO ST, PHILADELPHIA, PA 19122(267) 768-8739 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katie D Clark Rd, Ldn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE D CLARK RD, LDN (NPI 1689455594) is an individual dietitian, registered in Philadelphia, Pennsylvania and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1689455594
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKATIE D CLARKCredential: RD, LDN
Location Address1807 WATERLOO STPhiladelphia, PA 19122-2422
Mailing Address1807 Waterloo StPhiladelphia, PA 19122-2422 · (267) 768-8739
Phone(267) 768-8739
Sole ProprietorYes
Enumeration DateOctober 9, 2023
NPPES CertifiedOctober 8, 2023
✔ NPI 1689455594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1807 WATERLOO ST, Philadelphia, PA 19122
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIND BELLY SOUL NUTRITION LLC
Clinic/Center (Health Service)
1807 WATERLOO ST
PHILADELPHIA, PA 19122
Philadelphia County (678) 656-5830
DR. JESSE ALLEN SMITH LMFT
Marriage & Family Therapist
1807 WATERLOO ST
PHILADELPHIA, PA 19122
Philadelphia County (256) 393-4039
DR JESSE SMITH THERAPY LLC
Marriage & Family Therapist
1807 WATERLOO ST
PHILADELPHIA, PA 19122
Philadelphia County (484) 278-3319

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Clark's NPI number?

The NPI number for Katie Clark is 1689455594. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Where is Katie Clark located?

Katie Clark practices at 1807 Waterloo St, Philadelphia, PA 19122. The listed phone number is (267) 768-8739.

What is Katie Clark's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Katie Clark was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.